ArticlePloS one2018
Health-related quality of life inequalities by sexual orientation: Results from the Barcelona Health Interview Survey.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Experiences of sexually and gender-diverse women with community-based health promotion services in Canada.BMC health services research · 2026Article
- Emerging socioeconomic correlates of loneliness. Evidence from the Barcelona Health Survey 2021.Social psychiatry and psychiatric epidemiology · 2025Article
- It's time for change: inequities and determinants of health-related quality of life among gender and sexually diverse young people in Australia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas.Frontiers in public health · 2023Article
- Temporal Trends and Differences in Sexuality among Depressed and Non-Depressed Adults in the United States.International journal of environmental research and public health · 2022Article
- Health Inequalities by Sexual Orientation: Results from the 2016-2017 Barcelona Health Survey.LGBT health · 2022Article
- Self-Reported Anxiety in Spain: A Gendered Approach One Year After the Start of COVID-19 Pandemic.Frontiers in public health · 2022Article
- The Importance of Social Support, Positive Identity, and Resilience in the Successful Aging of Older Sexual Minority Men.Geriatrics (Basel, Switzerland) · 2021Article
- Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea.International journal of environmental research and public health · 2021Article
- Comments on "Benefits of Sexual Activity on Psychological, Relational, and Sexual Health During the COVID-19 Breakout".The journal of sexual medicine · 2021Article
- Diagnosis and Treatment of Depression in Spain: Are There Gender Inequalities?International journal of environmental research and public health · 2020Article
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8 authors.
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Abstract
backgroundStudies on health-related quality of life (HRQoL) inequalities according to sexual orientation are scarce. The aim of this study was to assess HRQoL inequalities between lesbian, gay, and bisexual (LGB) people and heterosexuals in the 2011 Barcelona population, to describe the extent to which sociodemographic characteristics, health-related behaviors, and chronic conditions could explain such inequalities, and to understand if they are sexual orientation inequities.
methodsIn the 2011 Barcelona Health Interview Survey 3277 adults answered the EQ-5D, which measures five dimensions of HRQoL summarized into a single utility index (1 = perfect health, 0 = death). To assess HRQoL differences by sexual orientation we constructed Tobit models for the EQ-5D index, and Poisson regression models for the EQ-5D dimensions. In both cases, nested models were constructed to assess the mediator role of selected variables.
resultsAfter adjusting by socio-demographic variables, the LGB group presented a significantly lower EQ-5D index than heterosexuals, and higher prevalence ratios of problems in physical EQ-5D dimensions among both genders: adjusted prevalence ratio (aPR) = 1.70 for mobility (p = 0.046) and 2.11 for usual activities (p = 0.019). Differences in mental dimensions were only observed among men: aPR = 3.15 for pain/discomfort (p = 0.003) and 2.49 for anxiety/depression (p = 0.030). All these differences by sexual orientation disappeared after adding chronic conditions and health-related behaviors in the models.
conclusionThe LGB population presented worse HRQoL than heterosexuals in the EQ-5D index and most dimensions. Chronic conditions, health-related behaviors and gender play a major role in explaining HRQoL differences by sexual orientation. These findings support the need of including sexual orientation into the global agenda of health inequities.
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